Organization
BENJAMIN INTERIANO M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA INTERIANO (OFFICE MANAGER)
(713) 988-1699
Entity
Organization
Contact information
Practice address
7737 SOUTHWEST FWY, SUITE 640, HOUSTON, TX 77074-1807
(713) 988-1699
(713) 988-4892
Mailing address
7737 SOUTHWEST FWY, SUITE 640, HOUSTON, TX 77074-1807
(713) 988-1699
(713) 988-4892
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H6858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H6858
STATE LICENSE
TX
Enumeration date
12/14/2010
Last updated
10/27/2011
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